How much rates vary
Facilitymedian $13 · 10th to 90th $5 to $112Professionalmedian $4 · 10th to 90th $3 to $6
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3.24 Median $6.17 Typical High $26.30 | Facility | None | $3.24 | $6.17 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.55 Typical High $7.24 | Professional | None | $3.09 | $3.55 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $3.55 Typical High $5.13 | Professional | None | $2.51 | $3.55 | $5.13 |
BCBS Texas Setting Facility Modifier None Typical Low $7.94 Median $19.50 Typical High $36.31 | Facility | None | $7.94 | $19.50 | $36.31 |
BCBS Texas Setting Professional Modifier None Typical Low $3.39 Median $5.01 Typical High $5.50 | Professional | None | $3.39 | $5.01 | $5.50 |
Baylor Scott & White Setting Facility Modifier None Typical Low $4.79 Median $5.13 Typical High $38.90 | Facility | None | $4.79 | $5.13 | $38.90 |
Christus Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $11.22 Typical High $21.38 | Facility | None | $5.25 | $11.22 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $5.37 Typical High $8.71 | Professional | None | $3.16 | $5.37 | $8.71 |
Health Smart Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Health Smart Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.23 | Professional | None | $7.94 | $7.94 | $10.23 |
Lucent Health Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Moda Health Setting Facility Modifier None Typical Low $4.68 Median $83.18 Typical High $190.55 | Facility | None | $4.68 | $83.18 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $3.09 Median $4.47 Typical High $7.08 | Professional | None | $3.09 | $4.47 | $7.08 |
Molina Setting Professional Modifier None Typical Low $3.89 Median $4.37 Typical High $4.37 | Professional | None | $3.89 | $4.37 | $4.37 |
Providence Setting Facility Modifier None Typical Low $4.17 Median $7.59 Typical High $21.38 | Facility | None | $4.17 | $7.59 | $21.38 |
Providence Setting Professional Modifier None Typical Low $3.16 Median $4.68 Typical High $7.76 | Professional | None | $3.16 | $4.68 | $7.76 |
United Setting Facility Modifier None Typical Low $1.86 Median $2.19 Typical High $5.13 | Facility | None | $1.86 | $2.19 | $5.13 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.80 Typical High $5.13 | Professional | None | $2.57 | $3.80 | $5.13 |
Wellpoint Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.74 Median $3.72 Typical High $14.13 | Facility | 52 · Reduced service | $1.74 | $3.72 | $14.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.69 Median $1.48 Typical High $5.62 | Facility | 53 · Discontinued | $0.69 | $1.48 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.55 Median $1.70 Typical High $3.09 | Professional | 52 · Reduced service | $1.55 | $1.70 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.68 Typical High $1.23 | Professional | 53 · Discontinued | $0.62 | $0.68 | $1.23 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $2.19 Median $2.57 Typical High $5.13 | Professional | QW · Waived lab test | $2.19 | $2.57 | $5.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.95 Median $3.72 Typical High $14.13 | Facility | 52 · Reduced service | $1.95 | $3.72 | $14.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.48 Typical High $5.62 | Facility | 53 · Discontinued | $0.78 | $1.48 | $5.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.55 Median $1.62 Typical High $2.51 | Professional | 52 · Reduced service | $1.55 | $1.62 | $2.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.65 Typical High $1.00 | Professional | 53 · Discontinued | $0.62 | $0.65 | $1.00 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $3.09 Median $5.75 Typical High $6.46 | Professional | QW · Waived lab test | $3.09 | $5.75 | $6.46 |
Where Texas sits
The same service costs 12.6 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 29th of 51
$5.50
MN $52.48DC $4.17
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.